Matt, I think you are spot on! Interestingly, this is the 3rd time this week that this issue has come up in conversation. Even outside of the intensity of an ICU setting - when a trusting relationship is not established with a healthcare provider - being asked difficult questions can be traumatizing or retraumatizing. The importance of patience voice was a recurring theme across all the discussions. Patient voice needs to be at the center of trauma informed practices. Utilizing universal precautions ensures that all patients (and staff) are treated in a way that supports their autonomy and recognizes that lived experiences shape who we are and who we become. Thanks for bringing up such an important topic! Karen